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尿失禁对生活质量的影响:那不勒斯大都会市的一项横断面研究。

The Impact of Urinary Incontinence on Quality of Life: A Cross-Sectional Study in the Metropolitan City of Naples.

作者信息

Corrado Bruno, Giardulli Benedetto, Polito Francesco, Aprea Salvatore, Lanzano Mariangela, Dodaro Concetta

机构信息

Department of Public Health, University Federico II of Naples, 80138 Naples, Italy.

Department of Advanced Biomedical Sciences, University Federico II of Naples, 80138 Naples, Italy.

出版信息

Geriatrics (Basel). 2020 Nov 20;5(4):96. doi: 10.3390/geriatrics5040096.

Abstract

Urinary incontinence is a hygienic and psychosocial problem that often brings people to restrict their social life and to experience depression. The main aim of this study was to evaluate the impact of urinary incontinence on quality of life among residents of the Metropolitan City of Naples, Italy, using a newly designed multidimensional questionnaire. The secondary objective was to find which variables affect the quality of life and symptom severity in these patients. To do so, a sample composed of twenty-eight patients was recruited in a multicentre cross-sectional study. Most of the participants had a mild impairment (60%) concerning social life and self-perception, especially those whose education was above the primary level ( = 0.036) and those who followed a pelvic floor rehabilitation program ( = 0.002). Overflow urinary incontinence was associated with a greater deterioration in the aspirational and occupational domain ( = 0.044). Symptom severity was worse in those who had comorbidities ( = 0.038), who had a high body mass index ( = 0.008) or who used diuretics ( = 0.007). In conclusion, our results suggest that there is a significant impairment of quality of life in patients who have only primary education and who follow a pelvic floor rehabilitation program.

摘要

尿失禁是一个卫生和社会心理问题,常常导致人们限制社交生活并感到抑郁。本研究的主要目的是使用新设计的多维问卷评估意大利那不勒斯都会区居民中尿失禁对生活质量的影响。次要目标是找出哪些变量影响这些患者的生活质量和症状严重程度。为此,在一项多中心横断面研究中招募了由28名患者组成的样本。大多数参与者在社交生活和自我认知方面有轻度损害(60%),尤其是那些教育程度高于小学水平的人(P = 0.036)以及那些接受盆底康复计划的人(P = 0.002)。充溢性尿失禁与抱负和职业领域的更大恶化相关(P = 0.044)。有合并症的人(P = 0.038)、体重指数高的人(P = 0.008)或使用利尿剂的人(P = 0.007)症状严重程度更差。总之,我们的结果表明,仅接受小学教育且接受盆底康复计划的患者生活质量存在显著损害。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/97de/7709681/9918dae93d2f/geriatrics-05-00096-g001.jpg

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